Individual
CANDILLA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9713 BON HAVEN LN, OWINGS MILLS, MD 21117-7410
(443) 695-8593
(410) 764-2202
Mailing address
9713 BON HAVEN LN, OWINGS MILLS, MD 21117-7410
(443) 695-8593
(410) 764-2202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2735
MD
Other
Enumeration date
03/10/2015
Last updated
04/21/2021
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